Physical or occupational therapy use in ...
Document type :
Article dans une revue scientifique: Article original
DOI :
PMID :
Permalink :
Title :
Physical or occupational therapy use in systemic sclerosis: a scleroderma patient-centered intervention network cohort study
Author(s) :
Becetti, Karima [Auteur]
Kwakkenbos, Linda [Auteur]
Carrier, Marie-Eve [Auteur]
Gordon, Jessica K. [Auteur]
Nguyen, Joseph T. [Auteur]
Mancuso, Carol A. [Auteur]
Mouthon, Luc [Auteur]
Nguyen, Christelle [Auteur]
Rannou, Francois [Auteur]
Welling, Joep [Auteur]
Thombs, Brett D. [Auteur]
Spiera, Robert F. [Auteur]
Kwakkenbos, Linda [Auteur]
Carrier, Marie-Eve [Auteur]
Gordon, Jessica K. [Auteur]
Nguyen, Joseph T. [Auteur]
Mancuso, Carol A. [Auteur]
Mouthon, Luc [Auteur]
Nguyen, Christelle [Auteur]
Rannou, Francois [Auteur]
Welling, Joep [Auteur]
Thombs, Brett D. [Auteur]
Spiera, Robert F. [Auteur]
Journal title :
The Journal of rheumatology
Abbreviated title :
J. Rheumatol.
Volume number :
46
Pages :
1605-1613
Publication date :
2019-12-01
ISSN :
0315-162X
English keyword(s) :
PHYSICAL THERAPY
SYSTEMIC SCLEROSIS
SCLERODERMA PATIENT-CENTERED INTERVENTION NETWORK
OCCUPATIONAL THERAPY
HEALTH SERVICES RESEARCH
SYSTEMIC SCLEROSIS
SCLERODERMA PATIENT-CENTERED INTERVENTION NETWORK
OCCUPATIONAL THERAPY
HEALTH SERVICES RESEARCH
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Systemic sclerosis (SSc) is characterized by significant disability because of musculoskeletal involvement. Physical and occupational therapy (PT/OT) have been suggested to improve function. However, the rate of PT/OT use ...
Show more >Systemic sclerosis (SSc) is characterized by significant disability because of musculoskeletal involvement. Physical and occupational therapy (PT/OT) have been suggested to improve function. However, the rate of PT/OT use has been shown to be low in SSc. We aimed to identify demographic, medical, and psychological variables associated with PT/OT use in SSc. Participants were patients with SSc enrolled in the Scleroderma Patient-centered Intervention Network (SPIN) Cohort. We determined the rate and indication of PT/OT use in the 3 months prior to enrollment. Multivariable logistic regression was used to identify variables independently associated with PT/OT use. Of the 1627 patients with SSc included in the analysis, 23% used PT/OT in the preceding 3 months. PT/OT use was independently associated with higher education (OR 1.08, 95% CI 1.04-1.12), having moderately severe small joint contractures (OR 2.09, 95% CI 1.45-3.03), severe large joint contractures (OR 2.33, 95% CI 1.14-4.74), fewer digital ulcerations (OR 0.70, 95% CI 0.51-0.95), and higher disability (OR 1.54, 95% CI 1.18-2.02) and pain scores (OR 1.04, 95% CI 1.02-1.06). The highest rate of PT/OT use was reported in France (43%) and the lowest, in the United States (17%). Despite the potential of PT/OT interventions to improve function, < 1 in 4 patients with SSc enrolled in a large international cohort used PT/OT services in the last 3 months. Patients who used PT/OT had more severe musculoskeletal manifestations and higher pain and disability.Show less >
Show more >Systemic sclerosis (SSc) is characterized by significant disability because of musculoskeletal involvement. Physical and occupational therapy (PT/OT) have been suggested to improve function. However, the rate of PT/OT use has been shown to be low in SSc. We aimed to identify demographic, medical, and psychological variables associated with PT/OT use in SSc. Participants were patients with SSc enrolled in the Scleroderma Patient-centered Intervention Network (SPIN) Cohort. We determined the rate and indication of PT/OT use in the 3 months prior to enrollment. Multivariable logistic regression was used to identify variables independently associated with PT/OT use. Of the 1627 patients with SSc included in the analysis, 23% used PT/OT in the preceding 3 months. PT/OT use was independently associated with higher education (OR 1.08, 95% CI 1.04-1.12), having moderately severe small joint contractures (OR 2.09, 95% CI 1.45-3.03), severe large joint contractures (OR 2.33, 95% CI 1.14-4.74), fewer digital ulcerations (OR 0.70, 95% CI 0.51-0.95), and higher disability (OR 1.54, 95% CI 1.18-2.02) and pain scores (OR 1.04, 95% CI 1.02-1.06). The highest rate of PT/OT use was reported in France (43%) and the lowest, in the United States (17%). Despite the potential of PT/OT interventions to improve function, < 1 in 4 patients with SSc enrolled in a large international cohort used PT/OT services in the last 3 months. Patients who used PT/OT had more severe musculoskeletal manifestations and higher pain and disability.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Submission date :
2024-01-30T10:28:27Z